Organization Active NPI

Rosemarie M. Dam, DDS, Inc.

  • General Practice Dentistry
  • Pomona, CA
National Provider Identifier
1770770802
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47251 Issued in CA
Legal business name
ROSEMARIE M. DAM, DDS, INC.
Practice address
1182 E Holt Ave
Pomona, CA 91767-5833
Phone
(909) 865-6585
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rosemarie M Dam, DDS
Title
Owner/Dentist
Phone
(909) 865-6585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47251 CA Primary

Addresses

Primary practice location

1182 E Holt Ave
Pomona, CA 91767-5833

Mailing address

1182 E Holt Ave
Pomona, CA 91767-5833
Phone (909) 865-6585

Other identifiers 1

IdentifierTypeStateIssuer
G92640-01OtherCADENTI-CAL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1770770802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675833",
            "telephone_number": "909-865-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675833",
            "telephone_number": "909-865-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARIE M. DAM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "DAM",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "909-865-6585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G92640-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.